Consumption advice to ensure the health and safety of fish consumers remains urgent to handle the ever-increasing panic over heavy metal toxicity. Moreover, studies of fish consumption rarely focus on the perceptions and awareness of consumers. Considering this, the present study examines the factors determining the willingness to follow fish consumption advice as well as calculate the risk-benefit ratio and produce the vulnerability map followed by formulating fish consumption advice for consumers of two commercially important fish species, tilapia (Oreochromis niloticus) and mudfish (Ophiocephalus striatus), in the Laguna de Bay area of the Philippines. Primary data on consumers' perceptions were collected through a questionnaire, whereas heavy metal contamination data were compiled from the best available literature. We concluded that people's willingness to adopt consumption advice is mostly dependent on their existing level of fish consumption (P = 0.000). There was no discernible difference in the mean concentration of heavy metals in fish between the dry and wet seasons, with the exception of As concentrations in the samples (t15.75 = 3.72, p
* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.